August 8, 2014 · SUMMARY OF HOSPITALS REPORTING STATUS – Q1 2014 Clark Memorial* Columbus Regional* Community East* Community Howard* Community North* Community South* DeKalb Health*

August 8, 2014

HOSPITALS REPORTING TO THE INDIANA TRAUMA

REGISTRY – QUARTER 1 2014

District 1

Franciscan St. Anthony –

Crown Point

Franciscan St. Anthony –

Michigan City

Franciscan St. Margaret –Dyer

Franciscan St. Margaret -

Hammond

IU Health – LaPorte

Jasper County

Methodist Northlake

Methodist Southlake

Portage

Porter Regional (Valparaiso)

District 2

Community Hospital of

Bremen

Elkhart General

IU Health – Goshen

Kosciusko Community

Memorial Hospital South Bend

Pulaski Memorial

St. Joseph RMC-Mishawaka



District 3

Cameron Memorial

DeKalb Health

Dukes Memorial

Dupont

Lutheran

Parkview Huntington

Parkview LaGrange

Parkview Noble

Parkview Randallia

Parkview Regional Medical

Center

Parkview Whitley

District 4

Franciscan St. Elizabeth -

Crawfordsville

Franciscan St. Elizabeth –

Lafayette Central

Franciscan St. Elizabeth –

Lafayette East

IU Health – Arnett

IU Health – White Memorial

St. Vincent Williamsport



District 5

Community East

Community North

Community South

Eskenazi Health

St. Francis – Indianapolis

St. Francis – Mooresville

Hancock Regional

Hendricks Regional Health

IU Health – Methodist

IU Health – North

IU Health – Riley for Children

Johnson Memorial

Major Hospital

St. Vincent - Indianapolis

Witham Health Services

Witham at Anson



District 6

Community Hospital of

Anderson & Madison Co.

Community Howard

Henry County

IU Health – Ball Memorial

IU Health - Blackford

IU Health – Tipton×

Marion General

Reid Hospital

Rush Memorial

St. Vincent Anderson

St. Vincent Mercy

District 7

Greene County General

Putnam County

St. Vincent Clay

Sullivan County Community

Terre Haute Regional

Union Hospital

Union - Clinton

× hospital reported 0 trauma cases for the quarter



District 8

Columbus Regional

IU Health - Bedford

IU Health – Bloomington

IU Health – Paoli

Monroe Hospital

Schneck Medical Center

St. Vincent Salem

District 9

Clark Memorial

Floyd Memorial

King’s Daughters’ Health

Margaret Mary Community

St. Catherine Regional

Scott County Memorial



District 10

Daviess Community

Deaconess

Deaconess Gateway

Gibson General

Good Samaritan

Memorial Hospital & Health

Care Center

Perry County Memorial

St. Mary’s Medical Center

St. Mary’s Warrick

SUMMARY OF HOSPITALS REPORTING STATUS –

Q1 2014

Clark Memorial*

Columbus Regional*

Community East*

Community Howard*

Community North*

Community South*

DeKalb Health*

Dupont*

Franciscan St. Anthony – Michigan City*

Gibson General

Hancock Regional*

IU Health – Blackford*

IU Health – Goshen*

IU Health – LaPorte

IU Health – Paoli*

Jasper County*

St. Margaret - Hammond

New to Reporting / Started

Reporting Again

Dropped off

* = New to Reporting

New to Reporting / Started

Reporting Again

Kings’ Daughters’ Health*

Margaret Mary Community*

Portage*

Putnam County*

Rush Memorial*

Scott County Memorial

St. Catherine Regional*

St. Elizabeth – Crawfordsville*

St. Joseph RMC – Mishawaka*

St. Vincent Mercy*

St. Vincent Salem*

St. Vincent Williamsport*

Sullivan County Community

* = New to Reporting

HOSPITALS TRAINED ON THE TRAUMA REGISTRY (YTD) Adams Memorial

Clark Memorial

Community – Anderson

Community – East

Community – Howard

Community – North

Community – South

Daviess Community

Deaconess Gateway

DeKalb Memorial

Dupont Hospital

Floyd Memorial

Gibson General

Good Samaritan

Greene County General

Hancock Regional

IU Health – Bedford

IU Health – Blackford

IU Health - LaPorte

IU Health - Morgan

IU Health – Paoli

Jasper County

Jay County

King’s Daughters’ Health

Kosciusko Community

Margaret Mary Health

Memorial (Jasper)

Memorial (Logansport)

Perry County Memorial

Porter Regional

Pulaski Memorial

Putnam County

Rush Memorial

Scott Memorial

Schneck Medical Center

St. Anthony – Michigan City

St. Catherine Regional (Charlestown)

St. Joseph (Kokomo)

St. Joseph RMC – Mishawaka

St. Joseph RMC – Plymouth

St. Mary’s (Hobart)

St. Mary’s Warrick

St. Vincent – Anderson

St. Vincent – Carmel

St. Vincent – Frankfort

St. Vincent – Mercy

St. Vincent – Randolph

St. Vincent – Salem

St. Vincent – Williamsport

Sullivan County

Wabash County

Woodlawn Hospital

QUARTER 1 2014 STATEWIDE REPORT

6,824 incidents

January 1, 2014 to March 31, 2014

88 total hospitals reporting

9 trauma centers

79 hospitals

PATIENT DEMOGRAPHICS – PAGE 2

INJURY – PAGE 3

ED: DISPOSITION / LENGTH OF STAY – PAGE 4

ED: DISPOSITION / LENGTH OF STAY – PAGE 4

ED LENGTH OF STAY: BAR & WHISKER – PAGE 5

AVERAGE ED LOS: CATERPILLAR GRAPH – PAGE 6









ED LOS BY ISS – PAGE 14

ED DISPOSITION BY ISS – PAGE 15

PATIENT OUTCOMES– PAGE 16

CASES TO REVIEW – PAGE 17

ED DISPOSITION = EXPIRED

When should we present these to the TCC?

Past: When Ps>=50

What variables should we look at?

ISS

Ps

What is useful?

HOSPITAL DISPOSITION / LENGTH OF STAY – PAGE 18

HOSPITAL LENGTH OF STAY > 15 DAYS – PAGE 19

TRANSFER CASES COVER PAGE – PAGE 20

TRANSFER PATIENT: FACILITY TYPE – PAGE 21

TRANSFER PATIENT DATA AVERAGES – PAGE 22



Critical* Transfer

Patients

Number of

Patients 315

EMS Notified to

Scene 8.9 minutes

EMS Scene

Arrival to

Departure

16.6 minutes

EMS Scene

Departure to

Initial Hospital

ED Arrival

58. minutes

Initial Hospital

ED Arrival to

Departure

2 hours 42 minutes

Initial Hospital

ED Departure to

Final Hospital

ED Arrival

59 minutes

TOTAL TIME 4 hours 25 minutes

Critical Patient

defined as:

• ISS > 15

OR

• GCS ≤ 12

OR

• Shock Index > 0.9


Physiological Critical

Patient defined as:

• GCS ≤ 12

OR

• Shock Index > 0.9

Physiological

Critical** Transfer

Patients

Number of

Patients 64

EMS Notified to

Scene 8 minutes

EMS Scene

Arrival to

Departure

14 minutes

EMS Scene

Departure to

Initial Hospital

ED Arrival

16 minutes

Initial Hospital

ED Arrival to

Departure

2 hours 35

minutes

Initial Hospital

ED Departure to

Final Hospital

ED Arrival

56 minutes

TOTAL TIME 4 hours 6 minutes

TRANSFER PATIENT DATA – PAGE 23

TRANSFER PATIENT DATA – PAGE 24

TRANSFER PATIENT POPULATION – PAGE 25



TRAUMA CARE COMMITTEE REQUESTS – PAGE 30

QUESTIONS?

LINKED DATA BETWEEN TRAUMA & EMS

756 probabilistically linked cases for Q1 2014 between the

EMS Registry and Trauma Registry!!!

WHAT TO DO NOW? Total GCS 1-10 Total GCS 11+

Medication Given by EMS Frequenc

y Percent Medication Given by EMS

Frequenc

y Percent

Albuterol Sulfate 0 0.0% Albuterol Sulfate 1 0.2%

Amiodorone (Cordarone) 0 0.0% Amiodorone (Cordarone) 1 0.2%

Amyl Nitrate 0 0.0% Amyl Nitrate 1 0.2%

Aspirin (ASA) 0 0.0% Aspirin (ASA) 6 1.1%

Dextrose 10% (D10) 0 0.0% Dextrose 10% (D10) 1 0.2%

Dextrose 50% (D50) 0 0.0% Dextrose 50% (D50) 1 0.2%

Diphenhydramine (Benadryl) 0 0.0% Diphenhydramine (Benadryl) 1 0.2%

Dopamine 1 1.9% Dopamine 2 0.4%

Epinephrine 1:10,000 2 3.7% Epinephrine 1:10,000 1 0.2%

Etomidate 0 0.0% Etomidate 1 0.2%

Fentanyl 1 2.0% Fentanyl 11 2.0%

Furosemide (Lasix) 0 0.0% Furosemide (Lasix) 1 0.2%

Glucagon 0 0.0% Glucagon 1 0.2%

Glucose (Oral) 0 0.0% Glucose (Oral) 2 0.4%

Heparin 0 0.0% Heparin 1 0.2%

Lactated Ringers 0 0.0% Lactated Ringers 1 0.2%

Hydromorphone (Dilaudid) 0 0.0% Hydromorphone (Dilaudid) 10 1.8%

Lorazepam (Ativan) 0 0.0% Lorazepam (Ativan) 1 0.2%

Morphine Sulfate 0 0.0% Morphine Sulfate 5 0.9%

Nitroglycerin 0 0.0% Nitroglycerin 6 1.1%

Normal Saline 0 0.0% Normal Saline 11 2.0%

Not Applicable 28 51.9% Not Applicable 263 46.9%

Not Available 0 0.0% Not Available 5 0.9%

Not Known 13 24.1% Not Known 130 23.2%

Ondansetron (Zofran) 0 0.0% Ondansetron (Zofran) 19 3.4%

Oxygen 7 13.0% Oxygen 68 12.1%

Oxygen (non-rebreather mask) 0 0.0% Oxygen (non-rebreather

mask) 1 0.2%

Oxygen by Blow By 0 0.0% Oxygen by Blow By 0 0.0%

Oxygen by Nasal Cannula 0 0.0% Oxygen by Nasal Cannula 8 1.4%

Terbutaline (Brethine) 1 2.0% Terbutaline (Brethine) 0 0.0%

Thiamine 1 2.0% Thiamine 0 0.0%

Vasopressin 0 0.0% Vasopressin 1 0.2%

54 100% 561 100%

ISDH EMS REGISTRY DATA

36,890 traumatic injury incidents

Possible Injury indicated

Provider Primary Impression

Provider Secondary Impression

Complaint Reported by Dispatch is trauma injury

January 1, 2013 to July 1, 2014

118 total providers reporting

426,923+ runs in the

ISDH EMS Registry



QUESTIONS?

August 8, 2014 · SUMMARY OF HOSPITALS REPORTING STATUS – Q1 2014 Clark Memorial* Columbus Regional* Community East* Community Howard* Community North* Community South* DeKalb Health*

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